Thursday , June 24 2021

Primary care can & # 39; to succeed in the Treatment & # 39; Obesity in Children, Study finds



The findings showed that children in primary care received guidance on managing their weight over a year and did those who received treatment in clinics & # 39; major research. The results are encouraging, given the increase in obesity worldwide.

Treatment of childhood obesity is essential to avoid consequences for the long-term health and primary care physicians and specialists can do so, according to a new study from Sweden.

The small study, which appeared in 2008 Acta Paediatrica, Followed 64 children from 8 to 13 years, treated for obesity at clinics & # 39; primary care or outpatient close to their homes after being referred by their school health service.

The program includes both the children themselves as well as legal guardian for a year, and offered advice on diet, physical activity and sleep. The results are reported cover child weight after a further 3 years without treatment.

Obesity in children is a global epidemic – the World Health Organization found that the number of & # 39; children or babies with & # 39; overweight and children 5 years and younger increased from 32 million in 1990 to 41 million worldwide in 2016. Lack & # 39; healthy food and marketing of & # 39; sweetened beverages worldwide is attributed to the problem, and experts called on countries to impose on sweet drinks tax sugar to stop the rise in obesity.

F & # 39; this study, researchers were able to keep track & # 39; 56 children over 4 years, and 3 out of 10 were in & # 39; & # 39 category; lower weight than before the intervention. This means that those who were obese were now severely obese, those who were obese were now overweight, and those who were overweight had a normal weight now.

While this can & # 39; with an impressive sight, "are f & # 39; about the same levels as those reached by clinics & # 39; major research", said the author Senior Staffan Marild, associate professor & # 39, paediatrics, Sahgrenska Academy, University & # 39; Gothenburg. Although there was no group & # 39; control, researchers compared children with & # 39; 34 other were & # 39; normal weight when the study began, and five were overweight in the period & # 39; 4 years.

The use of primary care is easier than using specialized care – and in the US, x & # 39; likely more affordable, although there is a lack of & # 39; primary care physicians. One of the challenges in the fight against child obesity worldwide is increasing disparity of condition. A separate study published this month found that socio-economic inequalities and obesity increased between 2006 and 2012 in & # 39; Libersan, described by researchers as the city "most deprived" of Britain.

But if it fails to intervene can & # 39; there are serious consequences. Another study published this month based on data from the National Study Lonġinali & # 39; Adolescent Health found that obesity was directly linked & # 39; academic performance in young adult time; Other factors associated with academic performance included the status & # 39; immigrant and had obese friends.

Early intervention seems crucial, based on results from intervention based in & # 39; & # 39 Massachusetts with; children & # 39; obese minority published in & # 39; September. The results from this ongoing intervention for young children (& # 39; age & # 39; 2-4 years old) whose mothers were enrolled in the Supplementary Program & # 39; Assistance Nutrition found that black children who did not receive the intervention had a greater decrease in body mass index than did other children.

training doctors to treat obesity are the first step, because not all physicians are comfortable discussing obesity with their patients. Novo Nordisk announced in & # 39; July to work with the Society & # 39; Obesity program to fund & # 39; fellows of & # 39; obesity to fill gaps in physician education. At the time, Todd Hobbs, MD & # 39; Novo Nordisk, said the fellows' program adds credibility to a state & # 39; disease is often associated with stigma and prejudice. "

reference

Forsell C, Gronowitz E, Larsson Y, et al. Outcome & # 39; four & # 39; year & # 39; & # 39 treatments; style & # 39; randomly assigned life in primary care of children with obesity [published online September 14, 2018]. Acta Paediatr. 2018. doi: 10.1111 / apa.14583.

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